CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Bethesda North

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,981
about 1.6× the $1,223 Medicare rate · typically $1,251–$2,862
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,791
About the fair price
about $190 under the fair price · 1.5× Medicare
Medicare pays $1,223 Fair price $1,981 This hospital $1,791 Cash price $2,618 Hospital's list price $3,490

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

Highest price of the 9 OH hospitals we have prices for — worth calling around.

Cheapest $175 Priciest $1,791

Black dot = this hospital, among the 9 OH hospitals with a price for this procedure. Full list below.

A fair price for a Colonoscopy with biopsy is about $1,981 (about 1.6× the $1,223 Medicare rate). Bethesda North charges insurers about $1,791, or about $2,618 in cash — about the fair price. Located in Cincinnati, OH.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $2,071 169%
Blue Cross Blue Shieldmajor $1,458 - $3,427 119%
Aetnamajor $538 - $1,791 44%
Medical Mutual $1,189 97%
Oscar Health $1,016 - $1,749 83%
+ 3 smaller / regional plans $1,201 - $3,359
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 10500 Montgomery Road, Cincinnati, OH 45242
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals